Bursitis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

History and symptoms

Complete history will help determine the correct therapy. A detailed and thorough history from the patient is necessary.

History

Specific areas of focus when obtaining a history from the patient include:

• History of repetitive movement
• History of inflammatory disease (such as rheumatoid arthritis (RF), [systemic lupus erythematosus (SLE))
• History of trauma or microtrauma

Type of Bursitis	History
Subacromial bursitis (Shoulder bursitis)	History of shoulder injury, tendinitis, or shoulder impingement syndrome History of muscle overuse or repetitive activity such as painting, throwing a ball, or playing tennis
Olecranon bursitis (Elbow bursitis)	History of direct trauma to the posterior elbow History microtrauma, such as rubbing constantly the elbow against a table during writing History of certain occupations, such as plumbers and technicians History of systematic inflammatory process, such as rheumatoid arthritis History of crystal deposition disease, like gout and pseudogout
Trochanteric Bursitis (Hip bursitis)	History of trauma such as injury of the greater trochanter History of muscle overuse around the bursa or the joint underneath the bursa History of hip osteoarthritis History of inflammatory diseases Hip prosthesis
Prepatellar bursitis	History of sudden knee injury Hidtory of microtrauma History of staphylococcal Infection History of inflammatory disease arthritis History of crystal arthropathy gout
Retrocalcaneal bursitis (Ankle bursitis)	History of tight-fitting shoes History of gout, rheumatoid arthritis, and seronegative spondyloarthropathies History of Haglund disease

Symptoms

The symptoms of bursitis differ based on the anatomic location. Localized pain with movement and decreased range of motion (ROM) are symptoms common to all forms of bursitis. Localized redness or warmth are variable and seen in superficial bursitis. Septic bursitis is associated with fever in addition to other symptoms.

Type of Bursitis	Symptoms
Subacromial bursitis (Shoulder bursitis)	Mid shoulder pain early in the course of bursitis which gradually increase over time and eventually pain may be felt even at rest. Pain that is worse after repetitive activity such as painting, throwing a ball, or playing tennis
Olecranon bursitis (Elbow bursitis)	Painful or painless focal swelling at the posterior elbow
Trochanteric Bursitis (Hip bursitis)	Pain in the lateral side of the hip with walking, running or stair-climbing Lower extremities weakness Pain with active and passive motion
Prepatellar bursitis	Reduced range of motion at the knee Focal swelling, pain, and redness Difficulty kneeling and walking Fever
Retrocalcaneal bursitis (Ankle bursitis)	Swelling at the back of heel Pain at the back of the heel, especially when running uphill Pain while standing on tiptoes

Elbow

• Painful or painless focal swelling at the posterior elbow (goose egg over the olecranon process)

Shoulder

• Mid shoulder pain early in the course of bursitis which gradually increase over time and eventually pain may be felt even at rest.
• Pain that is worse after repetitive activity such as painting, throwing a ball, or playing tennis

Hip

• Pain in the lateral side of the hip with walking, running or stair-climbing
• Lower extremities weakness
• Pain with active and passive motion

knee

• Reduced range of motion at the knee
• Focal swelling
• Pain with movement

Ankle

• Swelling at the back of heel
• Pain at the back of the heel, especially when running uphill
• Pain while standing on tiptoes

References

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